State Fund
State Fund is a payer organization operating in California. For an ASC, what matters isn't the logo. It's how State Fund pays: where it runs rich, where it runs thin, and how its reimbursement compares with peer plans for the same procedures.
Pilot Analysis
Get the complete State Fund analysis
Tell us where to send it. Our team will prepare an analysis of State Fund covering rates by code, market position, and underpaid areas, and email it to you within 5-10 business days. Need it faster? Book a demo.
What Insights reveals
How State Fund pays
See how State Fund reimburses across procedures and markets, benchmarked against the peer plans competing for the same cases. Not a raw rate sheet, a read on where it sits.
Geographic footprint
State Fund's presence spans California. See where it concentrates and how that shapes the markets you compete in.
Peer position
Put your own position next to the benchmark for State Fund and bring the gap to your next contract conversation.
Specialty mix
Understand which procedures and specialties drive State Fund's volume, so you know where a rate change moves the needle.
Whether you're an ASC benchmarking a contract or a provider team looking State Fund up, DataLily AI maps how it reimburses across procedures and markets, and where your own rates sit against the peer benchmark.
Reference
Working with State Fund
- Payer ID
- 35076 is the EDI identifier used to route electronic eligibility checks (270/271), claim-status inquiries (276/277), and claims to State Fund through a clearinghouse.
- Eligibility verification
- Coverage and benefits for State Fund members are verified before the date of service, through a clearinghouse using payer ID 35076or through the payer's provider portal.
- Prior authorization
- Requirements are set per plan and per procedure. Confirm whether an authorization is required with State Fund directly before the date of service.
Book a demo: pick a time
A 15-minute walkthrough of State Fund the way it pays.
- What is State Fund's payer ID?
- State Fund's electronic payer ID is 35076. ASC billing teams use it to route eligibility checks (270/271), claim-status inquiries (276/277), and electronic claims to State Fund through a clearinghouse.
- How do ASCs verify eligibility for State Fund members?
- Eligibility and benefits for State Fund members are verified before the date of service, either electronically through a clearinghouse (a 270/271 transaction using payer ID 35076) or through the payer's provider portal.
- Does State Fund require prior authorization for ASC procedures?
- Prior-authorization requirements for State Fund are set per plan and per procedure. Confirm whether an authorization is required with State Fund directly before the date of service.
- What type of payer is State Fund?
- State Fund is a payer organization operating in California.
- How does State Fund compare with other payers for ASC procedures?
- Ask Rose and you get a plain-language read on where State Fund pays above or below peer plans for your top procedures, charted, and ending in a recommendation you can take into a contract conversation.
- Is State Fund paying my ASC below market?
- Put your own State Fund contract next to the peer benchmark in DataLily AI and you'll see the gap by procedure and market, the fastest way to know whether you're leaving money on the table.